Healthcare Provider Details

I. General information

NPI: 1053746669
Provider Name (Legal Business Name): KATHLEEN RICH LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 BRENNER DR
KANSAS CITY KS
66104-1163
US

IV. Provider business mailing address

4300 BRENNER DR
KANSAS CITY KS
66104-1163
US

V. Phone/Fax

Practice location:
  • Phone: 913-890-7400
  • Fax:
Mailing address:
  • Phone: 913-890-7472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number04287
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: